Area Registration Form

Area Information

Group Service Representative 1 (required)

Group Service Representative 2 (required)

Area Name (required)

Area Number (required)

Once this form is submitted an email will be created as Area##@saa-lists.org for communication to the Area Assembly Executive Committee. This will distribute to the Chair, Vice Chair, Secretary, and Treasurer. Anyone can send an email to that email address.

Area Contact Information

Area Chair Contact Info

Name (required)

Email (required)

Phone (required)

Area Vice Chair Contact Info

Name

Phone

Secretary Contact Info

Name

Phone

Treasurer Contact Info

Name

Phone

Mailing Address:

Name

Address

City

State

Zip

Country

Please complete this form by clicking the Submit button. Once this form has been completed, the ISO office will contact you about setting up an email and distribution list for your area.

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Area Registration Form

Area Information

Area Contact Information

Area Chair Contact Info

Area Vice Chair Contact Info

Secretary Contact Info

Treasurer Contact Info

Mailing Address: